BEACON BEHAVIORAL HEALTH-BATON ROUGE INC NPI 1699767699

NPI Information

  • NPI: 1699767699
  • Provider Name: BEACON BEHAVIORAL HEALTH-BATON ROUGE INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Former Legal Business Name: SYNERGY BEHAVIORAL HEALTH OF BATON ROUGE INC.
  • Address: 422 COLONIAL DR
    BATON ROUGE, LA
    ZIP 70806
  • Phone: (225) 924-5655

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NPI Details

BEACON BEHAVIORAL HEALTH-BATON ROUGE INC is a mental health (including community mental health center) clinic center in Baton Rouge, LA. BEACON BEHAVIORAL HEALTH-BATON ROUGE INC NPI is 1699767699. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Synergy Behavioral Health Of Baton Rouge Inc..

The provider's business location address is:

422 COLONIAL DR
BATON ROUGE, LA
ZIP 70806-505
Phone: (225) 924-5655
Fax: (225) 924-5330

The provider's authorized official is Earl J Wilde .
The authorized official title is Chairman Of The Board and has the following contact phone number (225) 810-4040.

The enumeration date for this NPI number is 8/17/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

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This page was last updated on: 3/30/2025

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